Individual
PAUL W. JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1955 FREMONT AVE, IDAHO FALLS, ID 83402-1510
(208) 526-0404
Mailing address
365 N 200 W, BLACKFOOT, ID 83221-5757
(208) 785-6309
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
M-4536
ID
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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